| NPI | 1578362257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE CORTES Manager 786-556-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |